Active NPI
Sandpiper Counseling LLC
- Mental Health Counselor
- Bel Air, MD
National Provider Identifier
1871218446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SANDPIPER COUNSELING LLC
- Doing business as
- Sandpiper Counseling LLC
- Practice address
- 2206 Old Emmorton Rd Ste 100-309
Bel Air, MD 21015-6172 - Phone
- (410) 405-7515
- NPI assigned
- Oct 6, 2022
- Last updated
- Jan 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malgorzata Nussbaum, MA, LCMFT, LMFT, LAC
- Title
- Manager/Therapist
- Phone
- (719) 210-1420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2206 Old Emmorton Rd Ste 100-309
Bel Air, MD 21015-6172
Mailing address
PO Box 26
Airville, PA 17302-0026
Phone (719) 210-1420
Other practice location 1
142 Downs Rd
Airville, PA 17302-9460
Phone (719) 210-1420
Other practice location 2
1345 Promontory Crest Vw
Colorado Springs, CO 80921-3950
Phone (410) 405-7515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346789500 | Medicaid | MD |
Other names 1
- Sandpiper Counseling LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nussbaumm@sandpipercounseling.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2206 Old Emmorton Rd
Ste 100309
Bel Air, MD 21015
Phone (410) 405-7515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674172800000",
"number": "1871218446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "AIRVILLE",
"state": "PA",
"postal_code": "173020026",
"telephone_number": "719-210-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 OLD EMMORTON RD STE 100-309",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156172",
"telephone_number": "410-405-7515"
}
],
"practiceLocations": [
{
"address_1": "142 Downs Rd",
"address_purpose": "LOCATION",
"city": "Airville",
"state": "PA",
"postal_code": "173029460",
"country_code": "US",
"telephone_number": "719-210-1420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 Promontory Crest Vw",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809213950",
"country_code": "US",
"telephone_number": "410-405-7515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SANDPIPER COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-06",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "MALGORZATA",
"authorized_official_title_or_position": "MANAGER/THERAPIST",
"authorized_official_telephone_number": "719-210-1420",
"authorized_official_credential": "MA, LCMFT, LMFT, LAC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346789500",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nussbaumm@sandpipercounseling.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "142 Downs Rd",
"city": "Airville",
"state": "PA",
"country_code": "US",
"postal_code": "173029460",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sandpiper Counseling LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sandpiper Counseling LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.